LATA A SURTI - Pharmacist License in Illinois | # 049278686

LATA A SURTI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278686

License Status

NOT RENEWED

Business

N

First Name

LATA

Middle

A

Last Name

SURTI

Business Name

LATA A SURTI

Original Issue Date

01/15/2021

Effective Date

01/15/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022